Parent Education: Nicu Knowledge Credential Evaluation

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‎Parent Education: NICU Knowledge on the App Store

10 hours ago
Category: Medical
Age Rating: 17+
Developer: Patient Education Programs LLC

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Improving the Efficiency and Effectiveness of Parent

9 hours ago

  • TABLE 1. TABLE 1.Description of NICU Family Support Core CurriculumNICU Family Support Core CurriculumGuidanceRecommended speakersLearning objectivesKey messagesRecommended materialsRecommended activitiesRecommended discussionEvaluation toolsSession reportSpeaker assessmentAttendee assessmentAbbreviation: NICU, neonatal intensive care unit.To implement the Core Curriculum, NFS partner hospitals were given all necessary guidelines, tools, and materials as part of their partnership benefit. The NFS Program Coordinators were instructed to offer at least 2 classes per month, in either a group format (group) or with an individual family at their infant's bedside (bedside). Classes were to be held according to Core Curriculum–recommended implementation strategies (fully implemented as recommended) with an emphasis on utilizing a recommended speaker, covering all learning objectives and key messages and, in ideal circumstances, incorporating at least 1 recommended activity or 1 recommended material.STUDY OF INTERVENTIONA formative evaluation design was chosen to assess the content of the curriculum and its implementation. The focus was to identify best practices to understand efficiency gains and guide future program quality and effectiveness. Therefore, the evaluation was designed to provide ongoing recommendations to improve parental/caregiver confidence, learning, self-reported knowledge change, and satisfaction. To promote efficiency and standardization, training of NFS Program Coordinators was coled by the NFS Program Directors and evaluation staff and all instructional materials were written to include delivery of the curriculum with evaluation as an integrated component. After a short pilot phase, the NFS Core Curriculum launched nationally in July 2014.METHODSThe NFS Program Coordinators were responsible for collecting data about the efficiency and effectiveness of each session. Their training included how to assign and track unique session and speaker identifiers to preserve privacy of individuals and also to allow for the linkage of the 3 data collection tools developed for each of the 5 topics:Session report form (session): Completed by the NFS Program Coordinator each time a session was offered. Items were filled out before, during, and at the close of the session. This form contained administrative information about the session, such as the date, attendance, format (group or bedside), speaker information, and observable information regarding the material covered during the session.Speaker assessment form (speaker): Completed by the primary speaker following the first time he or she led a session on each topic at the site. This form contained questions on the speaker's experience leading the session and suggestions for improvement of the class.Attendee assessment form (attendee): Each attendee had an opportunity to complete an assessment form immediately following the end of every session. This form contained questions on parenting confidence, perception of knowledge change, satisfaction with the session, and a true/false quiz regarding session content. To assess whether the session impacted knowledge change, attendees were asked to report on what they knew before the session and what they knew following the session.The 3 data sources captured a multidimensional picture of the process and outcomes of each session. The paper-and-pencil forms used Likert-type scales, multiple choice questions, check all that apply items, and had space for comments. The consistent format of the forms allowed for aggregation across topics and sites, while also mapping directly to the individual topic guidelines.The evaluation covered a 2½-year period from July 2014 through December 2016. Data were collected via the session and speaker forms throughout the entire evaluation period. Attendee forms were collected only between July 2014 and December 2015. Data from paper forms were entered into Qualtrics, an online survey platform, and then 15 separate data files, 1 for each topic (5) and each form type (3), were downloaded from Qualtrics and imported into IBM SPSS Statistics version 19 (SPSS). The SPSS was used to clean the data and create working data files by linking the data from the 3 forms using a unique session identifier to provide more complete information on the efficiency and effectiveness of each individual session. Findings that reference the linked files refer to data files that linked the session, speaker, and attendee forms. Findings that reference unlinked files refer to data collected via the session form only.MEASURESWith a focus on identifying best practices to guide future program quality, the project was designed to evaluate the efficiency and effectiveness of the curriculum. Efficiency was assessed through the examination of adherence to curriculum recommendations including use of qualified and prepared speakers and incorporation of recommended messages and materials. The evaluation included 3 main outcomes of interest related to effectiveness: increase in parenting confidence; parent learning and knowledge change; and satisfaction. Parenting confidence and parent learning/knowledge change were chosen because of their anticipated positive impact on families' ability to care for their high-risk infant during and after the hospitalization., Satisfaction was chosen because of its association with the increasing priority of positive patient experience among hospital leaders.–Parenting confidence was measured as the percentage of attendees who reported increased confidence after attending the session. Parenting confidence was measured on a 3-point Likert scale with the following response options: decreased, stayed the same, and increased. The data were coded as a dichotomous variable: increased or did not increase (decreased or stayed the same) and percentages for each of the 2 response options were calculated.The mean satisfaction scale represents an average across the 3 satisfaction statements on the attendee assessment form (“For this parent hour, how satisfied or dissatisfied are you with the...”). Each of the 3 statements received a score that ranged from very dissatisfied (1) to very satisfied (4) and an average across the 3 statements was calculated.Parent learning and knowledge change were examined using 2 approaches: (1) overall self-reported learning and (2) a postsession learning score. Self-report learning was assessed by asking attendees to respond to the statement “How much did you learn overall during this parent hour?” Response options included as follows: nothing, a little bit, a lot, and does not apply. Findings from overall self-reported learning are based on the percentages of parental responses to those options. The postsession learning score was based on four 2-part questions. Each statement asked attendees to report their agreement with 4 topic-specific statements about what they knew before the session and what they knew after attending the session. The 4-point Likert responses ranged from strongly disagree (1) to strongly agree (4). If an attendee answered all 4 statements, an average score was created for both the before responses and the after responses. If a respondent had both a before and an after score, the postsession learning score was created by subtracting the average after score from the average before score. A small portion of postsession learning scores were negative, which indicated that a parent reported knowing more before the session than after the session (n = 60). A score of zero indicated no reported knowledge change (n = 529), while the remainder of the scores were positive, indicating that a parent reported learning from the session.Ongoing data quality and monitoring ensured that all sites were compliant with program implementation and data reporting. Project data were examined on a quarterly basis by evaluation staff and shared with NFS Program Coordinators who compared the study data with program administrative data to help identify reporting issues such as errors in ID assignment that would prevent the 3 data sources from being linked to one another.ANALYSISAll data were analyzed using SAS 9.3 (SAS Institute Inc, Cary, North Carolina). Two data files were used for analysis: (1) the unlinked session data file that included data collected between July 2014 and December 2016 and (2) the linked session-attendee-speaker file, which was limited to data collected from the session, speaker, and attendee forms between July 2014 and December 2015 and included only observations from attendees whose attendee's assessment form could be linked to the session report form and the speaker assessment form. Analysis was limited to the sites that consistently participated in the full Core Curriculum program. Data were excluded from sites that did not offer at least 1 session every 6 months between July 2014 and December 2016. Analytical approaches included descriptive statistics (frequency, percentage, and response rate) and inferential approaches (t test, χ2, and analysis of variance), with significance set at P < .05.To assess whether there were influential sites or speakers, a sensitivity analysis was undertaken. All key outcomes presented in this article were measured with and without data from select sites and speakers. Findings were then compared to ensure that outcomes were not influenced by a single site or a particular session speaker. Data were also analyzed to assess nonresponse bias by comparing findings from linked data files with findings from unlinked data files. To assess whether selection bias was present, findings from the data set that included only those sites that offered sessions consistently were also compared with the full data set that included all sites. For the sensitivity analyses described previously, differences in findings between the full and reduced data sets were not significant.ETHICAL CONSIDERATIONSThis project was designed for internal quality improvement and institutional review board approval was not sought. However, steps were taken to ensure that attendees were treated ethically and data were secure. Session attendees were assured that completion of the evaluation was voluntary and that their evaluation forms were anonymous. No attendee identifiers were collected or reported, and the NFS Program Coordinators were trained on ways to maintain anonymity of responses during collection of attendee forms. Data were transmitted to the March of Dimes National Office through Qualtrics. Hard copies of all forms were retained in a locked, on-site location for 1 year. Form data were accessible only by evaluation staff at the March of Dimes National Office through a password-protected site.RESULTSThe session data file included data collected via the session report form between July 2014 and December 2016 (n = 3399 sessions). Sessions offered but not attended by any attendees are not included in the results (n = 720). Between July 2014 and December 2016, 13,350 individuals attended 1 of 3399 sessions held across 41 unique sites. Of those held sessions, a total of 806 (24%) were held at the patient's bedside. Three percent of sessions (n = 106) were held in Spanish. The average session was 53 minutes (standard deviation = 21 minutes) and had 3.93 attendees (standard deviation = 3.24). Group sessions had an average of 4.6 attendees compared with an average of 1.8 attendees at bedside sessions. Table displays the number and percentage of sessions with characteristics of interest overall and by time period.
  • TABLE 2. TABLE 2.Number and Percentage of Sites, Sessions, and Attendees Overall and by YearaOverallYear201420152016Sites41414141SessionsNumber of sessionsSession held in a group settingSession held at bedsideSessions conducted in SpanishAverage session length in minutes, mean (SD)33992593 (76%)806 (24%)106 (3%)52.8 (20.6)508 (15%)396 (78%)112 (22%)7 (1%)52.4 (16.8)1226 (36%)897 (73%)329 (27%)56 (5%)51.3 (17.3)1665 (49%)1300 (78%)365 (22%)43 (3%)53.9 (23.6)AttendeesTotal attendeesAttendees in a group settingAttendees at bedside sessionsAttendees in sessions conducted in Spanish13,35011,936 (89%)1414 (11%)431 (3%)2142 (16%)1902 (89%)240 (11%)35 (2%)4819 (36%)4255 (88%)564 (12%)209 (4%)6389 (48%)5779 (90%)610 (10%)187 (3%)aData are from unlinked session reports.
  • TABLE 3. TABLE 3.Number and Percentage of Sessions Offered According to NICU Family Support Implementation Strategies by Year and FormataOverallYearsFormat201420152016GroupBedsideNumber of sites4141 (100%)41 (100%)41 (100%)41 (100%)27 (66%)Total sessions3399508 (15%)1225 (36%)1665 (49%)2593 (76%)806 (24%)Speaker qualified and prepared2729 (80%)418 (82%)990 (81%)1321 (79%)2146 (83%)580 (72%)bRecommended messages and materials provided1961 (58%)336 (66%)780 (63%)845 (51%)b1418 (55%)543 (67%)bSessions fully implemented as recommended1212 (36%)217 (43%)469 (38%)526 (32%)b990 (38%)222 (28%)baData are from the unlinked session file.bSignificant at P < .0001.Over the study period, 80% of sessions were offered by a speaker who was qualified and prepared—defined as a speaker with an appropriate educational background who received the topic-specific guidelines and supplement before teaching his or her first session. Nearly 60% of sessions (58%, n = 1961) covered all key messages and learning objectives and used at least 1 recommended material or conducted at least 1 recommended activity (recommended messages and materials). Just over a third of sessions (36%, n = 1212) were fully implemented as recommended with a qualified and prepared speaker and use of recommended messages and materials.Across time, sessions held in 2014 and 2015 were more likely to have speakers who reported the use of recommended messages and materials in their sessions (P < .0001). Sessions in 2014 and 2015 were also more likely to be fully implemented as recommended (P < .0001) compared with sessions in 2016. While there were no differences observed across time, speakers in the group setting were more likely to be classified as qualified and prepared than speakers at the bedside setting (83% compared with 72%, P < .0001). Group session speakers were also more likely to use recommended messages and materials in their sessions (P < .0001). Sessions held at bedside were less likely to be fully implemented as recommended (P < .0001).
  • TABLE 4. TABLE 4.Number and Percentage of Attendees Reporting Learning, Knowledge Change, Increased Confidence, and Mean SatisfactionaOverallYearsFormat20142015GroupBedsideNumber of sites4141363917Number of attendees36481310 (36%)3648 (64%)3307 (91%)341 (9%)Parental learningNothingA little bitA lotDoes not applynMissing11 (0.3%)605 (17%)2795 (77%)197 (5%)3608407 (0.5%)241 (19%)978 (76%)65 (5%)1291404 (0.2%)364 (16%)1817 (78%)b132 (6%)23174011 (0.3%)584 (18%)2483 (76%)190 (6%)3268400 (0%)21 (6%)312 (92%)b7 (2%)34040Knowledge changeMean before scoreMean after scoreMean changen2.923.800.8732302.923.760.8411602.923.810.89b20703.003.780.7829082.183.881.70b322Confidence in parenting or caregivingDecreasedStayed the sameIncreasednMissing5 (0.1%)540 (15%)3052 (85%)3597512 (0.2%)212 (16%)1078 (83%)1292513 (0.1%)328 (14%)1974 (86%)2305515 (0.2%)516 (16%)2739 (84%)3260510 (0%)24 (7%)313 (93%)b33751Mean parental satisfactionMeannMissing3.783607413.751289413.782318413.763266413.86b34141aData are from session-attendee-speaker file.bSignificant at P ≤ .0001.Parents who attended sessions in 2015 reported learning “a lot” more frequently than their counterparts attending sessions in 2014 (P value is .0237). There were no significant differences in parent knowledge change, confidence, or mean satisfaction over time. Parents who attended bedside sessions reported learning “a lot” more frequently than their counterparts attending group sessions (P < .0001). Furthermore, attendees at bedside sessions reported learning more and higher confidence and satisfaction than parents at group sessions.
  • TABLE 5. TABLE 5.Number and Percentage of Attendees Reporting Learning, Knowledge Change, Increased Confidence, and Mean Satisfaction by Implementation StrategyaParental Learning—-Learned “a Lot”Knowledge ChangeIncreased Confidence in Parenting or CaregivingMean SatisfactionOverall2795 (77%)0.86963052 (85%)3.7705Speaker qualified and preparedYesNo2468 (78%)b327 (71%)0.8690b0.87322698 (86%)b354 (78%)3.7767c3.7280Recommended messages and materials providedYesNo1947 (81%)b848 (70%)0.9590b0.6892102 (88%)b950 (79%)3.7997b3.7129Sessions fully implemented as recommendedYesNo1707 (80%)b1088 (73%)0.9392b0.76961846 (87%)b1206 (81%)3.8021b3.7257aData are from session-attendee-speaker file.bSignificant at P < .0001.cSignificant at P < .05.DISCUSSIONThe NFS program sites that were included in this quality improvement project included university medical centers, regional perinatal centers, and children's hospitals serving both surgical and primarily premature infant populations. This diverse sample of hospital settings makes it likely that findings are applicable beyond program sites.

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Instituting Parent Education Practices in the Neonatal

5 hours ago Mar 30, 2012 . Parents were invited to call with questions and encouraged to schedule a time to meet with the therapist for subsequent therapy sessions, which included re-evaluation and …
Author: Stacey C. Dusing, Catherine M. Van Drew, Shaaron E. Brown
Publish Year: 2012

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Implementing family-integrated care in the NICU: a

6 hours ago The purpose of this study was to develop, implement, and evaluate a parent education and support program that enhances family-integrated care in a Canadian neonatal intensive care
Author: Marianne Bracht, Lori OʼLeary, Shoo K Lee, Karel OʼBrien
Publish Year: 2013

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PARENT EDUCATION IN THE NEONATAL INTENSIVE

1 hours ago Parent Education: To provide a framework to establish consistency in the implementation of parent education in NICUs Evaluation: Identify best practices around …

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The NICU Parent Risk Evaluation and Engagement Model

8 hours ago Engagement is a fairly new concept in practice and research and is gaining the interest of federal and private regulators, clinicians, and researchers. In this article, we offer a standard definition …

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Evaluation of Parents’ Awareness and Knowledge

10 hours ago The stressful experience will be worse if they have little knowledge and poor NICU-related maternal abilities. Mothers of infants admitted to the NICU require a lot of information to cope …

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Preparing Parents for NICU Discharge: An Evidence-Based

8 hours ago the parents’ convenience to meet the generational needs of the diverse population of NICU parents. In the literature re-viewed, both teen parents and advanced maternal age (AMA) …

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Preparing Parents for NICU Discharge: An Evidence-Based

9 hours ago Dec 01, 2011 . Preparing Parents for NICU Discharge: An Evidence-Based Teaching Tool Preparation for discharge and transition to parents’ care of infants hospitalized in the neonatal …

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Transition from NICU to Home: Are the Parents Ready to

7 hours ago Transitioning the care of a previously critically ill infant to home poses many challenges for the parents. Prior to the infant's discharge, the parents undergo rigorous training to continue the …

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Learning to parent from Google? Evaluation of available

9 hours ago Jan 23, 2018 . This is especially true if their infant requires care in a neonatal intensive care unit (NICU). Parents may experience disappointment, anger, guilt, or feelings of loss of control, …

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Perceived Needs of Parents of Premature Infants in NICU

11 hours ago

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Provider Connections – Provider Connections

11 hours ago

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Frequently Asked Questions

  • What do you think is the awareness of parents in NICU?

    The most awareness in parents was about doing of hygienic principle when they entered to NICU and about the importance of regularly and continuous attendance in ward. Awareness and knowledge of parents about problems of their premature infant were related to their age and being a mother or father.

  • Does parent education enhance family-integrated care in the neonatal intensive care unit?

    Implementing family-integrated care in the NICU: a parent education and support program The purpose of this study was to develop, implement, and evaluate a parent education and support program that enhances family-integrated care in a Canadian neonatal intensive care unit (NICU).

  • Are parents prepared to care for their NICU infants?

    ence helping parents learn to care for their NICU infants has revealed the challenge of preparing parents for the transition to home. Frightened parents who are hesitant just to touch their fragile infants in the beginning gain confi dence as the days and weeks progress. As their infants grow, so does their ability to care for them.

  • What is the process of the NICU?

    care unit (NICU) is a process that begins on admission. Identifying parents’ educational needs requires thoughtful assessment by experienced nurses. Caring for these infants can be daunting to

  • Is there a need for mobile apps for NICU parents?

    In a recent review, websites targeted toward parents with infants in the neonatal intensive care unit (NICU) were found to have poor to moderate quality educational material; however, there is a dearth of literature regarding mobile apps for NICU parents.

  • What is the parent education for the NICU?

    NICU Family Support Core Curriculum parent education classes are designed to support the information needs of your NICU’s diverse families, while improving patient safety, communication with families and patient satisfaction. The Core Curriculum includes seven topics: Caring for Your Baby in the NICU Caring for Your Baby at Home

  • How does the NICU family support system work?

    Each NICU Family Support site submits data monthly, which is aggregated and analyzed for trends and best practices. Analyzing trends in real time provides the opportunity for the development of new resources to meet the evolving needs of hospitals and families.

  • What is March of Dimes NICU family support?

    March of Dimes NICU Family Support is your resource to improve the quality of the patient and family experience in your unit. Our services are built around three main areas: Providing education and information to families is one of the most meaningful ways to engage them in creating a positive experience while they are in the NICU.

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